Organization Active NPI

Rock Solid Chiropractic at Citadel, PLLC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1831617000
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROCK SOLID CHIROPRACTIC AT CITADEL, PLLC
Practice address
3510 Galley Rd Ste 102
Colorado Springs, CO 80909-4353
Phone
(719) 799-6565
Fax
(719) 213-2570
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mandi Miedema, D.C.
Title
Owner/Doctor
Phone
(719) 799-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3510 Galley Rd Ste 102
Colorado Springs, CO 80909-4353

Mailing address

3510 Galley Rd Ste 104
Colorado Springs, CO 80909-4353
Phone (719) 799-6565

Other names 1

  • Rock Solid Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

3510 Galley Rd
Colorado Springs, CO 80909
Phone (719) 597-4423

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831617000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 GALLEY RD STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094353",
            "telephone_number": "719-799-6565",
            "fax_number": "719-213-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 GALLEY RD STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094353",
            "telephone_number": "719-799-6565",
            "fax_number": "719-213-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK SOLID CHIROPRACTIC AT CITADEL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "MIEDEMA",
        "authorized_official_first_name": "MANDI",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "719-799-6565",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Solid Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rock Solid Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.